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Alaska rates for HCPCS L5331

Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,466.84 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $4,168.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $5,754.40 / $6,456.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $7,079.46 / $21,877.62
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,760.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $6,456.54 / $6,606.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $7,079.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $4,073.80 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,311.31 / $13,489.63